SB 252 - AS AMENDED BY THE SENATE
03/27/2025 1139s
2025 SESSION
25-1149
09/11
SENATE BILL252
AN ACTrelative to criteria for providing certain medical care through telemedicine.
SPONSORS:Sen. Prentiss, Dist 5; Sen. Fenton, Dist 10; Sen. Watters, Dist 4; Sen. Long, Dist 20; Sen. Altschiller, Dist 24; Sen. Perkins Kwoka, Dist 21; Sen. Rosenwald, Dist 13; Rep. Nagel, Belk. 6; Rep. Hakken-Phillips, Graf. 12
COMMITTEE:Health and Human Services
-----------------------------------------------------------------
AMENDED ANALYSIS
This bill modifies the requirements for the use of telemedicine to prescribe non-opioids and opioids classified in schedules II through IV, including authorizing physician assistants and advanced practice registered nurses to do so.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation:Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/27/2025 1139s25-1149
09/11
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Five
AN ACTrelative to criteria for providing certain medical care through telemedicine.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Physicians and Surgeons; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 329:1-d, III to read as follows:
III. A physician licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine [after establishing a physician-patient relationship with the patient]. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine a subsequent [in-person exam] evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. [The prescription authority under this paragraph shall be limited to a physician licensed under this chapter, or a physician assistant in accordance with RSA 328-D:3-b, and] All prescribing shall be in compliance with all federal and state laws and regulations.
2 Physician Assistants; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 328-D:3-b, XIII to read as follows:
XIII. A physician assistant may prescribe, dispense, order, administer, and procure drugs and medical devices. Physician assistants may plan and initiate a therapeutic regimen that includes ordering and prescribing non pharmacological interventions, including but not limited to durable medical equipment, nutrition, blood and blood products, and diagnostic support services including but not limited to home healthcare, hospice, and physical and occupational therapy. A physician assistant licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine a subsequent evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. All prescribing shall be in compliance with all federal and state laws and regulations.
3 New Paragraph; Advanced Practice Registered Nurses; Telemedicine for Non-Opioid or Opioid Controlled Drugs in Schedule II Through IV. Amend RSA 326-B:11 by inserting after paragraph III the following new paragraph:
III-a. An APRN licensed under this chapter may prescribe non-opioid and opioid controlled drugs classified in schedule II through IV by means of telemedicine. When prescribing a non-opioid or opioid controlled drug classified in schedule II through IV by means of telemedicine, a subsequent evaluation shall be conducted by a practitioner licensed to prescribe the drug at intervals appropriate for the patient, medical condition, and drug, but not less than annually. The prescription authority under this paragraph shall be limited to an APRN licensed under this chapter, and all prescribing shall be in compliance with all federal and state laws and regulations.
4 Effective Date. This act shall take effect 60 days after its passage.